论文部分内容阅读
桂枝汤出自张仲景《伤寒论》,“太阳中风,阳浮而阴弱。阳浮者,热自发;阴弱者,汗自出。啬啬恶寒,淅淅恶风。翕翕发热,鼻鸣干呕者,桂枝汤主之。”桂枝汤由桂枝、芍药、甘草、生姜、大枣组成。方中桂枝与芍药等量相配,收散相得,解肌发表而不致营阴外泄,调和营卫。生姜、大枣益脾和胃。甘草甘平用以调和中气。证乃外感风寒,营卫不和所致。吴谦等《医宗金鉴》“凡风寒在表,脉浮弱自汗出者,皆属表虚,宜桂枝汤主之。”桂枝汤可用于感冒、痛经、颈椎病、肩周炎、过敏性鼻炎、荨麻疹、妊娠呕吐、病后及产后低热等,证属营卫不和者。后世徐彬《金匮要略论注》曰“桂枝汤外证得之,解肌和营卫;内证得之,化气和阴阳。”正如柯琴所赞桂枝汤为“仲景群方之魁,乃滋阴和阳,调和营卫,解肌发汗之总方也。”(《伤寒论附翼》)笔者从桂枝汤加减变化应用于临床生益于此较多,现将自己一点理论学习与临床心得整理如下。
Guizhi soup from Zhang Zhongjing “Treatise on Febrile Diseases”, “the sun stroke, Yang Fu and Yin weak. Yang bulls, hot spontaneous; overcast weakness, sweating out. Stingy chills, 淅 淅 bad wind. 翕 翕 fever, nasal Retching, Guizhi Tang main. ”Guizhi soup by Guizhi, peony, licorice, ginger, jujube composition. Fangzhong Guizhi matched with the same amount of peony, Aberdeen received similar, published without causing campanal excretion, reconciliation Ying Wei. Ginger, jujube spleen and stomach. Gancao Gan Ping used to reconcile the gas. Evidence is exogenous cold, not due to health and peacekeeping. Wu Qian and other “Medical Zongjin Kam” “Where the cold in the table, weak pulse sweat, who belong to the table virtual, should Guizhi Tang Lord.” “Gui Zhi Tang can be used for colds, dysmenorrhea, cervical spondylosis, Frozen shoulder, allergic rhinitis, urticaria, vomiting during pregnancy, post-partum fever and so on. Later Xu Bin ”Golden Chamber Notes“ said ”Guizhi soup outside the card, Jie Ji and Ying Wei; internal evidence, gas and yin and yang.“ ” Zhong Jingqun’s head, but Ziyin and Yang, reconcile Camp Wei, Jie Fang sweating of the total party also. “(” Treatise on the attached wing ") The author from Guizhi Decoction applied to clinical benefits in this more, Now a little theoretical study and clinical experience are as follows.